Individual
SAJIV CHANDRADAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4060 4TH AVE STE 240, SAN DIEGO, CA 92103-2120
(619) 291-6064
Mailing address
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A122474
CA
207RG0100X
Gastroenterology Physician
Primary
A122474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113776
SID #113776
CA
Enumeration date
01/26/2012
Last updated
01/17/2024
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